Equality: A Continuing Dialogue

We reply to discussions of Equality: From Theory to Action by Harry Brighouse, Joanne Conaghan, Cillian McBride and Stuart White. We find many of their points helpful and treat them as a useful contribution to a continuing dialogue on egalitarianism.     

The long‐term effects of institutional rearing,foster care intervention and disruptions in care on brain electrical activity in adolescence

Exposure to early psychosocial deprivation as a result of institutional care disrupts typical brain development. The Bucharest Early Intervention Project (BEIP) is the first longitudinal study to investigate the neurodevelopment of institutionalized infants randomized to a foster care (FCG) intervention versus care as usual (CAUG). Here, we present findings from a follow‐up assessment of brain electrical activity as indexed by resting EEG at age 16 years. In addition, we examined the effects of disruption of foster care placement (e.g. the number of moves among foster care placements) on brain electrical activity. Resting‐state EEG was collected from 48 CAUG, 46 FCG and 48 never institutionalized (NIG) control participants. Absolute (µV²) and relative (proportion) power were computed from eyes closed, resting EEG data for theta, alpha and beta frequency bands. The CAUG displayed higher relative theta and lower relative alpha power compared to the FCG at 16 years of age. The FCG showed brain activity comparable to the NIG. The results further showed that disruptions following the original foster care placement had an adverse effect on brain electrical activity. Within the foster care group, there were no effects of age of placement on EEG power. Placement of children who have experienced early institutional rearing into stable foster care settings ensure long‐term improvement in brain functioning.     

Equality: Putting the Theory into Action

We outline our central reasons for pursuing the project of equality studies and some of the thinking we have done within an equality studies framework. We try to show that a multi-dimensional conceptual framework, applied to a set of key social contexts and articulating the concerns of subordinate social groups, can be a fruitful way of putting the idea of equality into practice. Finally, we address some central questions about how to bring about egalitarian social change. Editors’ note. John Baker et al’s article below condenses the key themes and arguments of their book, Equality: From Theory to Action. In the next issue of Res Publica, four writers will respond to these arguments, and there will be a reply from the book’s authors. We are grateful to Jurgen De Wispelaere for organising the original workshop on which the article and replies are based, and for his work in putting together this symposium.     

正义:西方道德治理思想的主线

道德治理是统治阶级利用国家权力发挥道德作用维护社会秩序的一种治理社会的活动。如果说中国古代道德治理思想的主要特点在于对仁政和道德教化的推崇,那么,西方道德治理思想的主线则在于对制度正义的追寻。     

The pros and cons of funnel plots as an aid to risk communication and patient decision making

Funnel plots, which simultaneously display a sample statistic and the corresponding sample size for multiple cases, have a range of applications. In medicine, they are used to display treatment outcome rates and caseload volume by institution, which can inform strategic decisions about health care delivery. We investigated lay people's understanding of such plots and explored their suitability as an aid to individual treatment decisions. In two studies, 172 participants answered objective questions about funnel plots representing the surgical outcomes (survival or mortality rates) of institutions varying in caseload, and indicated their preferred institutions. Accuracy for extracting objective information was high, unless question phrasing was inconsistent with the plot's survival/mortality framing, or participants had low numeracy levels. Participants integrated caseload‐volume and outcome‐rate data when forming preferences, but were influenced by reference lines on the plot to make inappropriate discriminations between institutions with similar outcome rates. With careful choice of accompanying language, funnel plots can be readily understood and are therefore a useful tool for communicating risk. However, they are less effective as a decision aid for individual patient's treatment decisions, and we recommend refinements to the standard presentation of the plots if they are to be used for that purpose.     

Religion,Secular Humanism,and Atheism: Multi‐Institutional Politics and the USAFA Cadets’ Freethinkers Group

The recent emergence of atheist movements despite marginalization and distrust by a majority of Americans has been explained as a successful deployment of identity politics, but scholars have less often considered the importance of how identity and power intersect with political opportunity occurring within organizational and religious fields. Analyzing the case of the U.S. Air Force Academy (USAFA) Cadet Freethinkers Group, we demonstrate that although it encountered opportunity in the organizational shock of the 2004 USAFA proselytism controversy, this opportunity was not a blank check, but instead afforded some possibilities for action and not others. Freethinkers’ actions to secure official recognition were limited by (1) their low placement in the chain of command and (2) a collective identity inclusive of secular humanism and atheism, which did not produce enough unity to take collective actions risking punishment, and created ambiguity vis‐à‐vis religion that allowed USAFA administrators to accept or deny their institutional membership claims through appeal, respectively, to functional or substantive definitions of religion.     

Young European citizens: An individual by context perspective on adolescent European citizenship

Abstract

This study examined the effects of individual, school-level and country-level variables and their interactions on two components of adolescents’ active European citizenship: trust in European institutions and participation at the European level. For comparison, country-related institutional trust and participation were also predicted. Using multilevel regression models, we re-analysed a subsample of survey data from the International Civic and Citizenship Education Study, collected from 14-year-old students (n = 72,466) in 22 European countries in 2009. Results showed that higher cognitive engagement with politics (e.g., political interest), more opportunities for learning about Europe at school, and country wealth and social equality were positively associated with both aspects of adolescents’ active European citizenship. In contrast to country-related participation, the participatory dimension of active European citizenship was also positively related to a higher socioeconomic status of adolescent’s classroom and family, an association that was more pronounced in less wealthy and post-communist countries.     

Teaching Race: Pedagogical Challenges in Predominantly White Undergraduate Theology Classrooms

While a number of scholars in the field of Christian theology have argued for the importance of teaching diversity and social justice in theology and religious studies classrooms, little has been done to document and assess formally the implementation of such pedagogy. In this article, the authors discuss the findings of a yearlong Scholarship of Multicultural Teaching and Learning (SoMTL) study, which examined student learning and faculty teaching regarding race and white privilege in two theology classrooms. After a brief overview of the study's design and execution, we reflect upon our findings and draw out implications for pedagogical practices. In particular we discuss students' emotional responses to the material and the role of cognitive dissonance in student learning with respect to racial inequality via social structures. See a companion essay in this issue of the journal (Karen Teel, “Getting Out of the Left Lane: The Possibility of White Antiracist Pedagogy”) and responses by the authors of both essays, also published in this issue of the journal (“Responses: Toward an Antiracist Pedagogy”).     

中医药发展的挤出效应及制度耦合

制度与制度之间常常存在挤出效应,在医疗卫生服务制度体系内,价格管制、支付制度和医疗卫生服务评价制度等,造成了对中医药政策和中医药应用的挤出.而中医药在我国医改战略转型、医学模式转变和促进制度创新方面具有十分积极的意义.制度耦合是解决制度冲突、制度挤出的基本思想,把中西医统一到卫生事业发展的目标上来,把发挥中医药优势和特色作为中医药政策的核心,构建中西医并重的机制、优化医疗卫生服务制度结构和完善中医药评价体系,是缓解挤出效应,促进中医药发展的制度选择.     

An institutional political economy view on Thomas Nagel's ‘minimum humanitarian morality’ in global justice

Thomas Nagel's conservative position of the political conception for world politics and his insightful ‘Minimum Humanitarian Morality’ (MHM) view on global justice are laudable. He admits that the path from anarchy to justice must go through injustice. But Nagel does not clearly identify the conditions under which we put up with global injustice. This paper reviews the conception of MHM through the lens of the institutional political economy. In my view, to recognize the degree of structural failure (weakness in governance) as well as the degree of transition failure (elite bargain or personalization of power being interlocked) in each state can give us a hint on how to conceptualize and apply Nagel's MHM. We also argue that the scope and degree of humanitarian aid may vary in accordance with the options to global justice open to each state.